Provider Demographics
NPI:1215078555
Name:FREEMAN, TORY GORDON (DOCTOR OF CHIROPRACT)
Entity type:Individual
Prefix:DR
First Name:TORY
Middle Name:GORDON
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W TUDOR RD STE D
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-7247
Mailing Address - Country:US
Mailing Address - Phone:907-334-6492
Mailing Address - Fax:907-334-5829
Practice Address - Street 1:110 W TUDOR RD STE D
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7247
Practice Address - Country:US
Practice Address - Phone:907-334-6492
Practice Address - Fax:907-334-5829
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor